Why do you want to go to the toilet, but urine does not go. Causes and treatment of urinary retention in men

Acute urinary retention requires urgent medical attention: the accumulation of urine without the possibility of withdrawal from the bladder can lead to serious consequences. It is important to know the main causes of a dangerous condition and the rules for first aid.

Reasons for the development of pathology

The main factor that provokes problems with urination is a benign and malignant tumor of the prostate. The overgrown tissues of the gland lead to compression and impaired patency of the urethra.

With swelling of the prostate tissues, pressure on the walls of the urethra interferes with the free outflow of urine, fluid stagnation develops, and the inflammatory process intensifies. With prostate adenoma, doctors detect an acute form of urinary retention in 1-7% of patients.

Other causes of ischuria in men:

blockage of the urethra with a stone or blood clot;
weak urine flow - indicators below 12 ml / s;
narrowing of the urethra with an active inflammatory process;
injury to the prostate;
inflammation and development of prostate abscess;
prostate cancer;
consequences of operations on the bladder, bean-shaped organs, prostate gland;
prolonged bed rest after surgical treatment;
pathologies of the nervous system, provoking a violation of the tone of the bladder, sphincters and urethra.

Problems with the excretion of fluid in most cases develop in old age, in patients whose prostate volume exceeds 40 ml. With sedentary work, persistent constipation, addiction to alcohol, ischuria in men is diagnosed more often. An important point for determining the risk of prostate cancer is a PSA level above 2.5 ng / ml. Ishuria ICD code - 10 - R33.

First signs and symptoms

Acute urinary retention (ischuria) is dangerous for the body. Men should know the first symptoms of a dangerous condition in order to see a doctor in time.

It is important to pay attention to several factors:

a gradual decrease in the amount of urine excreted in one urination;
pain and, difficulty emptying the bladder;
against the background of the inflammatory process, the temperature rises, weakness appears, the head hurts, nausea and vomiting are possible;
pain in the inguinal zone with the pressure of a bubble filled with liquid;
discomfort and tension in the pubic area with an overflowing bladder;
decreased sexual function.

Types and forms of the disease

Negative signs depend on the form of ischuria:

Acute. Urinary retention develops suddenly, painful and appear, but it is almost impossible to remove urine. The bubble is full, exceeding the critical size can lead to rupture of the organ. As a result, liquid with dissolved toxins penetrates into the abdominal cavity, peritonitis develops. The accumulation of harmful substances quickly provokes poisoning of the body, the patient's condition worsens. Without immediate assistance, death is possible.
Chronic. With an incomplete form of ischuria, the patient empties the bladder, but not completely, stagnant remnants increase inflammation, as the pathology progresses, the symptoms appear brighter. With the development of the full form of the disease, bladder catheterization is required to remove urine: a man is not able to independently control the physiological process.
Paradoxical ischuria. This form of pathology develops with a strongly stretched bladder. The process of urination is disturbed, it is difficult to urinate, but urine is involuntarily released dropwise from the urethra.

Diagnostics

In the chronic form of pathology, many men do not seek medical help until a critical moment arrives with the development of complete ischuria. It is not difficult to recognize the acute form of urinary retention: the patient cannot urinate without the introduction of a catheter, the general state of health deteriorates sharply, symptoms of intoxication appear.

Diagnostics is necessary to establish the factor that provoked the violation of the outflow of urine. Often, men do not suspect that the cause lies in the tumor, calculi, or compression of the urethra.

The urologist prescribes:

laboratory tests of urine and blood, necessarily, bakposev if an infectious pathology is suspected;
ultrasound examination of the bladder cavity, prostate tissues, kidneys.

On a note! On palpation of the pubic area, the doctor reveals an increased size of the bubble, pressure on this area provokes pain due to excess accumulated fluid. An important indicator is the volume of fluid received and excreted (data per day), an ultrasound of the bladder after urination. If the amount of residual urine exceeds 200 ml, then the urologist diagnoses urinary retention.

Valid Therapy Options

In the acute form of ischuria, it is important to provide first aid - to conduct. The timely call of an ambulance prevents serious complications, reduces the risk of intoxication and peritonitis in case of organ rupture.

After emptying the bladder, antibacterial compounds are prescribed, drugs that reduce signs of intoxication. It is important to eliminate the inflammatory process, normalize the functioning of the bean-shaped organs and the bladder. In critical situations, hemostatic and anti-shock procedures are required.

Treatment is carried out taking into account the factor that provoked ischuria:

crush and withdraw;
remove the tumor in the tissues of the prostate;
carry out stenting of the urethra to normalize the outflow of urine;
remove blood clots or stones that clog the urethra;
in critical situations, an emergency operation is performed for an acute form of ischuria, if a blockage of the urethra is detected or the tissues of the inflamed prostate have grown so much that surgical treatment is indispensable;
prescribe drugs that reduce muscle hypertonicity with neurogenic dysfunction;

Go to the address and read about the features of determining the daily diuresis in men and women.

Possible Complications

If left untreated, ischuria can lead to serious consequences:

pathogenic bacteria actively multiply in stagnant urine, inflammation appears, toxins from the urinary tract penetrate into other parts of the body, develop,. Blood poisoning is especially dangerous for the patient () - a condition that threatens health and life;
with a noticeable overflow of urine, complete ischuria, the bladder stretches, there is a possibility of rupture of an important organ. Urine that has poured into the tissue contains harmful microorganisms, an inflammatory process develops;
the inability to remove the accumulated urine reduces the functional ability of the kidneys. Urine retention in the absence of therapy provokes the development of a serious condition in which the bean-shaped organs do not work in full or cannot accumulate, filter and remove fluid. In the terminal stage of an acute one and transplantation of natural filters is required, until a donor is found, one will have to receive a chronic one - extrarenal blood purification from toxins and nitrogenous decay products.

It is important to know which factors increase the risk of urinary retention. The more attention a man pays to the health of the prostate, kidneys, bladder, the lower the risk of problems with the genitourinary system. Undertreated, chronic pathologies of the urinary tract and genital organs often provoke dangerous complications, including prostate cancer.

10 rules for the prevention of ischuria:

Avoid hypothermia, frequent heavy lifting.
Stop drinking hard alcohol, stop smoking. It is important to get rid of habits and exposure to poisons that impair the blood supply to important organs and tissues, reduce the elasticity of blood vessels that poison the body.
Refuse to take medicines uncontrollably.
Move more to prevent phlebitis of hemorrhoidal veins.
Less nervous, with frequent stressful situations, take herbal sedatives, drink tea from lemon balm, valerian root, mint, chamomile in courses.
Pay attention to signs of inflammation of the prostate.
Every year to visit (even in the absence of discomfort in the urinary tract), donate, do, prostate,.
Follow the rules for the prevention of inflammation after surgical treatment of pathologies of the genitourinary system.
Prevent sexually transmitted diseases, use a condom.
Empty the bladder in time, do not endure with a strong urge to empty the organ.

With the development of ischuria, men should know what to do to prevent dangerous consequences. Acute retention of urine often leads to intoxication, stretching of the walls of the bladder, in severe cases, rupture of an important organ is possible. It is important to know what the consequences of urinary retention are possible in the absence of adequate therapy. One of the negative manifestations is the deterioration of men's health, problems with potency. Measures to prevent ischuria are quite simple, compliance with the rules prevents many physiological and psychological problems.

Video. Specialist of the clinic "Moscow Doctor" about the causes and methods of treatment of urinary retention in men:

1 Causes of the disease

Urine is poorly discharged as a result of various factors. The main reasons for the accumulation of urine in the genitourinary system are:

infectious diseases of the prostate;
BPH;
traumatization of the genitourinary organs;
changes in the structure of the urethra as a result of an infectious disease, inflammation;
dysfunction of the nervous system;
spinal injury;
urolithiasis disease;
malignant neoplasms in the urinary organs;
abuse of alcoholic beverages, drugs.

Urine does not depart as a result of surgical treatment of the digestive system, perineum, intoxication of the body with medications, prolonged stay in bed, and stressful situations.

2 Symptoms

The accumulation of fluid in the bladder is accompanied by a strong urge to urinate, while urine is absent or is excreted in the form of drops. Urinary retention is characterized by increasing severe pain in the lower abdomen.

Pain is aggravated during urination, with downward bending, physical exertion. Depending on the cause of the disease, symptoms such as:

headache;
nausea, vomiting;
increased body temperature;
unstable blood pressure;
frequent urge to defecate;
bleeding from the urethra.

An overfilled bladder is visible on visual examination, and when pressed on the abdomen, it causes acute pain in the patient.

3 Methods of treatment

When the first signs of dysfunction appear, you should seek help from a specialist. The accumulation of fluid can lead to rupture of the bladder, damage to the urethra, infection in the genitourinary organs, and the development of acute prostatitis.

The systematic accumulation of fluid is the main cause of the development of renal failure, which requires specialized medical treatment.

You can temporarily relieve symptoms with:

warm bath,
water bottles,
heating pad, which is located in the bladder, perineum.

Antispasmodics will help relieve pain for a while. The course of therapy depends on the cause of dysfunction, the stage of development of the disease.

First aid for urinary retention is catheterization. A catheter is inserted into the genitourinary system by the doctor, through which the bladder is emptied. Manipulation is also carried out for diagnostics. Analysis of the urine obtained allows you to accurately determine the cause of the development of the disease. Catheterization is characterized by an instant effect. After urine is removed, tension and pressure on the internal organs are relieved, pain disappears, the patient immediately feels relief.

In some cases, catheterization cannot be performed. To remove urine, a bladder puncture is performed, a surgical intervention in which an incision is made in the anterior wall of the abdominal cavity to install a catheter. If the urethra is damaged, an implant is installed in the wall of the bladder. It stimulates the contraction of the muscles in the urethra, the urine departs in full.

To normalize the process of urination, a course of medications is prescribed that have anti-inflammatory, antibacterial, antiseptic effects. In combination with drug treatment, folk methods are used. Herbal preparations accelerate the action of medicines, eliminate symptoms, relieve inflammation and pain. Favorably on the work of the genitourinary system, alcohol tinctures of tea rose, wild rose, juniper, walnut shells affect.

To completely eliminate dysfunction, folk remedies alone are not enough; treatment should be comprehensive. Urinary retention occurs with various dysfunctions of the genitourinary system. The accumulation of fluid leads to various pathologies, disorders, and malfunctions of the normal functioning of the body. To eliminate urinary retention, a course of drug therapy is prescribed, catheterized is performed. When the first signs of pathology appear, you should immediately contact a specialist. Untimely treatment or its complete absence can lead to the development of negative consequences and complications.

And some secrets.

Have you ever suffered from problems due to PROSTATITIS? Judging by the fact that you are reading this article, the victory was not on your side. And of course, you know firsthand what it is:

Increased irritability
Impaired urination
erection problems

Now answer the question: does it suit you? Can problems be tolerated? And how much money have you already “leaked” for ineffective treatment? That's right - it's time to end this! Do you agree? That is why we decided to publish a link with a commentary by the Chief Urologist of the country, in which he recommends paying attention to one very effective remedy for PROSTATITIS. Read article…

urinary retention

Uncontrollable cessation of urination is a significant problem. Urinary retention in women and men (ischuria) is a pathological condition caused by various causes and having various manifestations. Indisposition in the absence of proper treatment is fraught with complications and the transition from acute to chronic form. Why does obstructed outflow of urine occur, how to diagnose and cure the pathology?

general information

Ischuria is a state of urinary retention during which it is impossible to empty the bladder, despite the fact that it is full. Such a condition, as a result of which urine is poorly discharged, occurs not only in adults, but also in children. There are several types of ischuria, each of which has its own characteristic symptoms. In addition, in men and women, the causes and symptoms of the pathology are different from each other, respectively, and the treatment of this condition will be different.

Types and forms of urinary retention

With a complete delay in the outflow of urine, catheterization is performed.

Depending on the symptoms of the disease, there is a classification of types and forms of difficult urine separation. So, the types of urinary retention:

Complete retention of urine outflow is a condition in which urine does not leave even with a clear urge to urinate. With this type of ailment, you have to use a tube to remove urine from the bladder.
Incomplete retention of urine. May accompany the patient for a long time, but she is not given attention. With incomplete emptying, urine does not pass well. It is released in a small volume or in intermittent jets - during the process, you have to strain the muscles of the organ.
paradoxical delay. With this type of ailment, the bladder is overfilled, but it cannot be emptied. Urine comes out of the urethra involuntarily.

Acute retention of urine. It has a violent onset: the lower abdomen hurts and there are repeated desires to urinate. A quick start is followed by an equally quick end. Men endure the acute form of the disease much harder than women.
Chronic retention of urine. The process in the remission stage mostly proceeds quietly, without the appearance of special symptoms. A person often does not even realize the existence of the disease, and only with an exacerbation of the disease caused by certain factors, it is possible to identify its chronic course with the help of diagnostics.

Back to index

Causes of urinary retention

An inflamed prostate prevents the normal separation of urine. Back to index

Common Causes

An existing obstruction that interferes with the normal separation of urine from the bladder. An obstacle can be various diseases of the genitourinary system (inflamed prostate, urolithiasis, malignant formations in the rectum, provoking obstruction).
Posterior urethral valves - folds of the urethral mucosa can delay the outflow of urine.
Nervous diseases - stroke, epilepsy, concussions, Parkinson's disease, etc.
Conscious delay occurs with a strong nervous breakdown, in a state of fright and in the postoperative period.
The causes of acute urinary retention are side effects of the uncontrolled use of certain drugs.

Back to index

Causes of obstructed outflow of urine in men

BPH.
Impaired separation of urine (delay or complete absence of urination) with prostatitis in the acute stage. Symptoms of an exacerbation of the prostate are also accompanied by a sharp pain in the kidneys and urethra, fever and signs of intoxication.

Back to index

Causes of the condition in women

Urinary retention in women can be triggered by prolapse of the internal genital organs.

Acute urinary retention in the female half of the population is provoked by such factors:

Prolapse of the internal genital organs (uterus, vagina).
Difficult childbirth and as a result - urine passes poorly.
Age changes. Acute urinary retention often occurs in older women. This disrupts the patency of the urethra.
Stopping urination after surgery on the genitourinary organs.
Mental disorders and nervous diseases.
The cause of urinary retention is a malignant tumor of one of the internal genital organs.
Urinary retention during pregnancy (in most cases, ectopic) and after childbirth.

Back to index

Ischuria in children

Such urinary retention, as ischuria, also occurs in childhood. So, the causes of pathology in children:

In boys, the cause of the pathology may be malaise associated with the contraction and reduction of the outer part of the genital organs (phimosis). With such a disease, the lumen for separating urine is very small or completely closed. Inability to urinate is a condition requiring urgent surgical intervention.
Girls are very susceptible to the occurrence of disorders associated with the outflow of urine. The cause of the disorders are injuries of the perineum and pathology of the structural features of the ureter.

Back to index

Symptoms of malaise

The main symptom of the disease is the inability to completely empty the bladder. The chronic form is asymptomatic. Concomitant signs of urinary retention look like this:

abdominal pain (mainly with constipation);
bloating, which is accompanied by increased gas formation in the intestines;
frequency of urge and pain when urinating;
experienced discomfort at the beginning of urination and, as a result, pain in the lower abdomen;
leakage or, conversely, the complete absence of urine in the bladder (a condition called anuria).

Back to index

Diagnostics

Computed tomography is an effective diagnostic method.

Diagnostic studies allow you to identify the disease in the early stages and choose the appropriate course of treatment. The acute form of the disease can be diagnosed in the following ways:

During a medical examination of the patient (percussion and palpation of the suprapubic region).
Differential diagnosis of pain syndrome in acute urinary retention.
Ultrasound examination of the pelvic organs.
Voiding cystourethrography is an x-ray contrast study of the bladder and urethra.
Intravenous pyelography is a study that allows you to see the kidneys, bladder and other organs of the urinary tract. Used to diagnose bladder and kidney stones, malignant tumors, and blockages in the urinary tract.
CT scan. A very effective and expensive diagnostic method that replaces ultrasound and x-rays.

Back to index

Treatment of pathology

Urinary retention in men and women is treated with various conservative methods: with the help of medicines and folk remedies at home. In conditions of failure of conservative methods of treatment, surgical intervention is assumed - an operation on the organs of the genitourinary sphere.

Medicines

An emergency care algorithm for women is compiled after determining the exact cause that provoked such a condition. At the very beginning of urinary retention therapy, bladder catheterization takes place (urine is released using a special tube - a catheter). With urolithiasis, drugs are prescribed, which, when taken, dissolve and remove stones from the body. In the postpartum period, treatment with medications involves taking antidepressants, antispasmodics, diuretics. With the omission of the internal genital organs, only a surgical intervention called colpopexy is indicated.

Drug treatment should be carried out only in consultation with the doctor.

A man will need emergency care for acute urinary retention. In the state when there is no urine at all, a special tube is inserted into the urethra, due to which its gradual separation occurs. Only after emptying the bladder and the diagnosis, the doctor confirms the diagnosis and prescribes a specific treatment. Alpha-blockers (Artezin, Doxazosin, Miktosin) are used as the main urodynamic-correcting drugs. In the absence of a positive result in the treatment, a surgical operation is performed to eliminate the disease and normalize all the functions of the urinary tract.

Folk remedies

Alternative methods of treatment are used in conjunction with the main therapy. Here are the most common prescriptions used to correct urination and relieve its painful symptoms:

Take 1 tbsp. l. dill seeds and birch buds. Mix both components and pour 1 liter of boiling water. Infuse for 1 hour, then strain the resulting liquid. Take a decoction 4 times a day. Drink a full glass before or after a meal. This remedy is a pre-medical first aid used for urinary retention. It is useful for relieving inflammation of a diseased bladder and alleviating pain.
An infusion made from rowan berries is considered an excellent remedy. Take 2 tbsp. l. berries, pour 0.5 liters of boiling water. Infuse for 2 hours and take 2 tbsp. l. three times a day before meals.
Bearberry herb copes well with signs of difficult urination, prevents pain from developing and relaxes the organs of the urinary tract. Making a decoction of bearberry is quite simple: take 1 tbsp. l. herbs, pour a glass of boiling water and take 2 tbsp. l. 3 times a day before meals. Those who treated the urogenital organs with bearberry long ago forgot about the existence of inflammation and, especially, urological diseases.

Back to index

Complications

Urinary retention can cause blood clots to form.

Complete or incomplete separation of urine without the selection of proper treatment provokes even greater problems with urination. Complications of acute urinary retention:

The appearance of blood clots in the urine.
Exacerbation of inflammation of the bladder.
Inflammatory process of the right or left kidney.
Sudden failure of the kidneys - acute renal failure (ARF). It can in a short period of time turn a healthy person into a bed patient.

Back to index

What to do in prevention?

Preventive measures are aimed at preventing ischuria disease and include the following rules:

Restriction of alcohol consumption.
Avoidance of hypothermia.
Men over 40 should visit a urologist who treats urological diseases at least once a year. Women need to visit the gynecologist more often - 2 times a year.
Timely treat inflammatory processes in the body and diseases of the genitourinary organs (prevent chronic diseases from developing).
Avoid trauma to the urinary tract.
Before using any medication, you should first consult with your doctor so as not to provoke the appearance of such a side effect as urinary retention.

Prevention is necessary for every person, no matter if he is healthy or sick. Any pathology of the urination process, affecting men, women or children, requires immediate contact with a medical institution. Timely diagnosis and the appointment of a specific course of treatment will prevent negative health consequences.

Urinary retention in men - what to do if urine does not pass well

Men often have problems with urination, especially later in life. One of the main problems is that a man does not pass urine well. In medical terms, this condition is called ischuria.

Urinary retention is usually caused primarily by psychological difficulties and physical discomfort. Moreover, in a man with such congestion, the general condition of the body worsens. If timely measures are not taken to eliminate the problem, complications may occur. That is why the treatment of pathologies that cause urinary retention should be timely.

Urinary retention in men: types of pathology

Ischuria is a disease that can develop at different rates. As a rule, depending on this symptom, pathology is divided into two main types

acute form

As a rule, acute urinary retention in men is quite unexpected for a man. At the same time, he experiences a number of symptoms that accompany the disease. These signs include pain in the lower abdomen and the urge to go to the toilet more often than usual.

In addition, a man may feel an unpleasant feeling that the bladder is not completely empty. At the beginning of the development of the disease, the patient's urine is excreted in small portions, however, over time, even with stress, urine ceases to be excreted at all. At the same time, urine accumulates in the bladder, causing an increase in the abdomen in a man, which becomes very noticeable externally. This condition is dangerous for the body, and therefore it is necessary to urgently consult a doctor. .

Chronic form

The chronic form, in which urine is poorly discharged in a man, usually proceeds for a long time. In this case, a man may not notice the signs of the disease and not pay attention to the difficulties that have arisen when urinating. However, sooner or later the urinary canals will narrow so much that it will begin to cause a certain discomfort to the man. Chronic urinary retention in men can, under the influence of external factors, turn into acute .

Incomplete urinary retention allows a man for a long time not to notice the appearance of a problem at all. With the full form of pathology, a man feels a sharp deterioration in well-being, and therefore, as a rule, urgently seeks medical help. In such cases, when a man cannot urinate outside on his own, the doctor uses a catheter.

It is possible to determine the development of ischuria by a characteristic feature - the need to strain to go to the toilet. In this case, urination often occurs intermittently. Sometimes in men there is a so-called paradoxical ischuria, in which the patient is not able to empty the bladder voluntarily, but drops of urine are involuntarily released from the urethra. In any case, the pathology requires medical intervention, and therefore it is highly not recommended to delay the problem.

Causes of urinary retention in men

Ischuria can develop in a man under the influence of many factors. The most common reasons are the following:

Urinary obstruction in men can occur due to various reasons and at different ages. Even some disorders in the central nervous system, trauma or damage to the brain or spinal cord can have an impact. Frequent violations in urination after operations on the spine or abdominal organs.

Sometimes the abuse of alcohol or drugs leads to ischuria in men.
In some cases, urinary retention appears as a result of prolonged use of drugs, for example, sleeping pills or sedatives, antidepressants have a strong effect.
Sometimes urine can stop being excreted after severe hypothermia of the body, after serious stress or heavy physical exertion.

The chronic form of the disease, as a rule, appears in elderly men.. If for a long time a man has experienced various difficulties with urination or problems with the organs of the genitourinary system, pathology may appear over time.

One of the most dangerous causes of ischuria is neoplasms in the prostate, including benign hyperplasia. As a rule, in most cases, urination becomes difficult due to the enlargement of the prostate gland. In this case, the gland on both sides squeezes the urethra, making the urethra narrower, which is why the urine does not pass completely, or does not come out at all.

In addition, diseases that occur in other organs near the genitourinary system can cause urinary retention. For example, fibrosis and sclerosis, as well as inflammatory processes in the intestines, can affect. In older men, neurogenic dysfunction in the bladder is sometimes observed.

How to treat cloudy urine - full article;

Signs of ischuria in a man

The main symptom of ischuria is, of course, a violation of the normal process of urination. In the acute form, such symptoms are more noticeable, because due to the accumulation of urine in the bladder, its walls are greatly stretched, which causes quite severe pain and a lot of discomfort.

Sometimes, if the cause of urinary retention is a blockage of the urinary canal, then a man may also feel pain in the urethra due to stones that linger there. If the cause of urinary retention is an injury to the penis, then discharge in the form of blood clots from the urethra is possible.

The acute form of ischuria can be seen even with the naked eye, since the man's belly increases significantly in size. In addition, the man experiences frequent urge to urinate. but no urine is excreted. If the cause of urinary retention lies in inflammatory processes, the man will feel sharp pains in the lower abdomen and lower back.

If the chronic form of ischuria is caused by prostate adenoma, then the man will experience the following signs of the disease:

Frequent urge to go to the toilet.
Constant feeling that the bladder is not completely emptied. As a rule, only a small portion of urine is excreted during urination.
The stream of urine is sluggish.
Frequent urination at night.

In the absence of proper medical care, intoxication can occur in the body due to harmful substances that are in the urine. In addition, due to the strong overflow of the bladder with urine, rupture of its walls may occur. At the same time, the man has symptoms of an "acute abdomen", in which irritation occurs in the abdominal cavity.

In order to make a correct diagnosis, the doctor may additionally prescribe a urinalysis, ultrasound, cystoscopy or computed tomography. These studies help to determine the presence of neoplasms in the organs of the genitourinary system, as well as other disorders and pathologies.

Poor urine output - how to treat

In the acute form of urinary retention, the first thing the doctor uses is catheterization in order to alleviate the patient's condition and prevent intoxication or rupture of the bladder. However, the use of a catheter to remove urine is a one-time procedure that cannot be used on an ongoing basis. Therefore, to improve the patency of urine, complex therapy is needed to eliminate the cause of the disease:

There are also folk recipes that help improve the process of urination and get rid of diseases. However, if symptoms of ischuria are detected, the first thing to do is to consult a doctor and conduct an examination.

Violation of the outflow of urine, the inability to empty the bladder leads to ischuria - urinary retention occurs in men, the causes and treatment of which should be determined by the doctor.

Urinary system disorders are common, especially in older men. Difficulty in the outflow of urine leads to pain and discomfort, worsens the general well-being of a person. The disease is fraught with complications, in the absence of treatment it passes from an acute form to a chronic one, obstruction of the ureter becomes a permanent phenomenon.

Difficulties in the natural outflow of urine occur suddenly, and this is not related to the work of the kidneys. The overfilled bladder begins to put pressure on the walls of the groin, bursting it. Perhaps a sharp increase in temperature, nausea, vomiting, headache, weakness throughout the body, pain on palpation in the groin area, an increase in its size. If these symptoms are present, urinary retention can be considered an exacerbation of the underlying disease, and you need to urgently empty your bladder with a catheter and consult a doctor. Otherwise, this condition can lead to complications:

peritonitis;
urogenic sepsis;
renal colic, insufficiency;
rupture of the bladder with leakage of the urethra into the abdominal cavity.

Most often, the pathology develops with a reduced rate of urine outflow, with a PSA value above the norm of 2.5 ng / ml, with a prostate volume of more than 40 ml.

In the event of acute urinary retention, as an emergency, urine should be urgently removed with a soft or metal catheter, call an ambulance, in case of sharp pain, put a warm heating pad on the groin area or take a bath.

Urination becomes rare, painful, with insufficient emptying of the bladder in a man with:

urolithiasis as a result of blockage of the urinary tract;
narrowing of the foreskin;
existing hematomas, aneurysms in the pelvic area;
infectious diseases;
inflammation of the prostate, the foreskin of the head of the penis;
injury to the urethra or bladder.

Additional symptoms may include:

bleeding, discharge of blood clots;
, prostate gland, in other organs in the pelvic area;
congenital irregular structurethat prevents the outflow of urine;
inflammation, damage to the urethra, which led to a narrowing of the lumen in it;
prostate adenoma, which is considered the most common disease in men.

It can be neurogenic in nature and appear when:

multiple sclerosis;
injuries of the spinal cord, brain;
severe intoxication with alcohol, drugs, in case of an overdose of sleeping pills;
hypothermia of the body;
severe and frequent stress;
inability to empty the bladder in a timely manner due, for example, to the lack of a toilet (urinary retention becomes arbitrary over time).

Often interfere with urination if a man has:

prostatitis;
stones in the bladder or urethra;
prostate adenomas;
phimosis;
tumors;
prostate cancer;
diseases of the central nervous system in the form of injuries in the spinal cord or brain.

An acute condition associated with a delay in emptying the bladder is possible if a person is intoxicated with alcohol, under stress, hysteria, after surgery on the rectum, perineum, as a result of a long stay of a man in bed, as well as drug intoxication.

Possible causes of difficulty urinating

Sudden interruption, or acute urinary retention, is most often observed with prostate adenoma in men over the age of 60-65 years. Also with a sedentary lifestyle, frequent diarrhea or constipation, when the gland experiences a strong rush of blood. The delay is characteristic of prostate adenoma: urine does not pass completely, painfully, with blood, the patient has a fever, the temperature rises. Pelvic fractures, urethral injuries also provoke urinary retention.

Acute urinary retention in men can have a peculiar form: first, urine departs, then suddenly interrupts, while the bladder remains not completely empty. This is a clear symptom that there are stones in the bladder that block the opening of the urethra or urinary canal. When the position of the patient changes, urination can be adjusted and continued. If urinary retention becomes a constant phenomenon, the muscular walls of the bladder and sphincter are gradually stretched, involuntary discharge of urine is possible in droplets, in small portions.

Acute urinary retention is accompanied by pain in the groin, pain during urine outflow, urge. It is necessary to carry out with the help of a rubber catheter and treat the disease based on the diagnosis, identifying the initial causes that led to such a disease.

Treatment Methods

As already mentioned, the underlying disease that the patient has leads to urinary retention. Men need to undergo a thorough examination. After making a diagnosis, the doctor will select a treatment, prescribe anti-inflammatory, antibacterial drugs. The introduced catheter minimizes the acute course of the disease, alleviates the patient's condition. But this manipulation is one-time, then you need to eliminate the underlying disease through drug treatment. Additionally, treatment can be carried out with folk remedies.

If the outflow of urine is disturbed for mechanical reasons, surgical intervention is possible. If the disease is associated with inflammatory infectious processes in the body, antibiotics, sulfonamides are prescribed.

It is possible to sew a special implant to the wall of the bladder, which will become a stimulator for normal muscle contraction in, which will improve the outflow of urine, make it regular and complete.

Folk remedies

Folk remedies are not able to cure the underlying disease, but serve only as an addition to drug therapy, are able to relieve unpleasant painful symptoms, and alleviate the general condition of the patient. It is useful to take tea rose fruits infused with alcohol, decoctions of juniper bark, rosehip infusion for alcohol, walnut shells ground into powder or infused with alcohol. Before self-treatment, it is better to first consult a doctor, otherwise you can aggravate the situation without knowing the real cause of the disease.

Urinary retention is a consequence of another pathology that develops in the body, to detect and identify which in a timely manner means to get rid of side symptoms in the form of a delay, a painful condition of the urethra.

It will help in alleviating the symptoms if the fruits of the tea rose are poured with water or alcohol, insisted for several days before acquiring a straw-yellow hue. Take this remedy should be 10 drops 2 times a day, after diluting the composition with a small amount of water.

You can grind the bark, walnut leaves into powder, take 8-10 g 2-3 times a day with warm boiled water.

You can grind dry birch leaves, pour dry white wine (1 l), boil the mixture for 20-25 minutes, then cool and strain. Add 3 tbsp. l. honey, take 3 times a day after meals for 1/3 cup.

It will help if you grind the rose hips, put them halfway in a glass bottle, pour vodka, keep for 7 days in a dark place, shaking occasionally. The finished tincture should acquire a light brown hue, you need to take it 10 drops 2-3 times a day, 1 tbsp. l. half an hour before meals.

In the acute phase, with urinary retention, duckweed in a powdered state helps well. Take 3 times a day before meals, 1 tbsp. l., drinking water.

Urinary retention in men requires a diagnosis of the entire genitourinary system. Urine is taken for analysis by removing it from the bladder through a catheter, blood for the presence or exclusion of infection in the urethra, ultrasound of the ureter and bladder in case of weakened muscles, CT, MRI for nervous disorders of the spine or brain. Perhaps the doctor will prescribe a cystomy by a small puncture over the bladder and the introduction of a rubber tube to ensure a full outflow of urine, or the introduction of novocaine, proserpine, pilocarpine into the urethra.

Treatment of urinary retention, or ischuria, should be carried out by competent specialists who are able to choose the right methods for resuming the outflow of urine and getting rid of problems associated with urination.

1 Causes of the disease

Urine is poorly discharged as a result of various factors. The main reasons for the accumulation of urine in the genitourinary system are:

infectious diseases of the prostate;
BPH;
traumatization of the genitourinary organs;
changes in the structure of the urethra as a result of an infectious disease, inflammation;
dysfunction of the nervous system;
spinal injury;
urolithiasis disease;
malignant neoplasms in the urinary organs;
abuse of alcoholic beverages, drugs.

Urine does not depart as a result of surgical treatment of the digestive system, perineum, intoxication of the body with medications, prolonged stay in bed, and stressful situations.

2 Symptoms

Pain is aggravated during urination, with downward bending, physical exertion. Depending on the cause of the disease, symptoms such as:

headache;
nausea, vomiting;
increased body temperature;
unstable blood pressure;
frequent urge to defecate;
bleeding from the urethra.

An overfilled bladder is visible on visual examination, and when pressed on the abdomen, it causes acute pain in the patient.

3 Methods of treatment

The systematic accumulation of fluid is the main cause of the development of renal failure, which requires specialized medical treatment.

You can temporarily relieve symptoms with:

warm bath,
water bottles,
heating pad, which is located in the bladder, perineum.

Antispasmodics will help relieve pain for a while. The course of therapy depends on the cause of dysfunction, the stage of development of the disease.

And some secrets.

Have you ever suffered from problems due to PROSTATITIS? Judging by the fact that you are reading this article, the victory was not on your side. And of course, you know firsthand what it is:

Increased irritability
Impaired urination
erection problems

Why is urine bad and what to do about it

If urine does not come out, it means that a disease develops in the body. When the fluid accumulates in the bladder and is poorly excreted, it gives the patient inconvenience, discomfort, sometimes this condition is accompanied by pain. In this case, only an emergency visit to the doctor in the clinic can help. He will make a diagnosis and prescribe special treatment.

Causes of pathology

Poor urine output may be due to the development of certain diseases in the body. These include:

uterine fibroids;
BPH;
kidney disease;
infectious diseases;
bladder stones;
vertebral injuries;
irritation;
problems in the endocrine system;
failures in cerebral circulation;
autoimmune pathologies;
sexual dysfunctions.

Uterine fibroids in a woman is a dangerous disease in which urine can hardly pass. The reasons are different, for example, squeezing the urethra. If the fibroid is enlarged, then the fluid is secreted little by little, and this leads to discomfort.

A man may have a disease such as prostate adenoma. At the same time, the liquid also leaves the body in small portions. In this case, doctors prescribe various pills that can positively affect the body, improve the patient's condition.

Medicines such as Tamsulosin, Revocain, Alfinal, Finast and others significantly improve health, radically affect the problem and relieve pain. Prostamol is a herbal medicine. Before starting treatment, it is necessary to consult a doctor about contraindications to taking certain groups of drugs.

Kidney pathologies, such as nephritis, pyelonephritis, or the presence of kidney stones, can cause difficulty in passing urine. Infectious diseases can cause inflammatory processes, which negatively affects this problem. If the body is supercooled, it is also fraught with inflammation. In this case, urine is excreted in small portions, and the whole process is accompanied by pain.

Bladder stones cause discomfort when a person moves. But they also affect the intensity of fluid excretion from the body.

When patients use low-quality intimate hygiene products, this is fraught with irritation. Urine in this case is also excreted with pain and discomfort.

Causes of burning sensation after urination in women

Damage to the nervous system can lead to the fact that urine does not leave. In addition, in this case, it can stand out uncontrollably. A severe form can turn into multiple sclerosis, so patients need to consult a doctor at the first problems with urine output and consult for the presence of the disease.

All brain pathologies are often associated with urination. Injured kidneys and bladder are the causes of such problems. Other causes include diabetes and other diseases of the endocrine system, deterioration in the quality of sexual life and prolonged abstinence.

If the organs adjacent to the urethra are affected, then injuries, inflammatory processes can adversely affect urination.

How to deal with the problem?

Urinary retention is not always safe for health. This does not lead to a fatal outcome, if you do not start the treatment process or do not refuse it at all. However, the problem needs to be eradicated. The patient should contact a qualified specialist. It is necessary to discuss with the doctor the advisability of using adjuvant therapy. He will tell you what to do to improve the process of urination.

People with the absence of pronounced and progressive diseases are recommended to eat foods that have the ability to improve urination. These include milk, coffee, and almost all foods that contain a lot of potassium. Magnesium affects the proper absorption of potassium and sodium in the human body, so it must be present in the human diet in sufficient quantities.

Doctors may suggest taking vitamin B 6 (pyridoxine), which is a powerful diuretic. It is prescribed in tablets and in the form of injections.

This is an adjuvant therapy that will help make the process of urination less uncomfortable. In addition, there are some other reasons why you should take it. Vitamin B6 strengthens the immune system and improves the processes of urination, it is able to rejuvenate cells, fight lesions in organs.

Difficulty urinating is no reason to give up. People suffering from this disease can continue to live a normal life, go to work and communicate with friends. However, if you do not pay attention to this harmful process in time, then the disease can lead to fatal consequences. Timely treatment will eliminate all symptoms.

Acute and chronic urinary retention in men

One of the troubles associated with the process of urination is urinary retention. This problem, also called ischuria, affects women and children, but most often it occurs in men. Persons suffering from ischuria do not have the opportunity to completely empty the bladder, or they excrete urine intermittently and with difficulty. Symptoms such as enlargement of the abdomen, discomfort in the bladder area, frequent daytime and nighttime urge to urinate or their absence at the right time are the main signs that a person has a problem with urinary retention. What are the causes of this trouble, what kind of danger does it pose for the stronger sex, and how is urinary retention diagnosed and treated in men?

About the varieties of ischuria

There are several types of urinary retention, each of them proceeds differently. Ischuria is chronic and acute, as well as complete and incomplete. When urinary retention begins in a person unexpectedly, accompanied by painful sensations in the abdomen or bladder, overflow of the latter and frequent urge to urinate, then this is an acute complete form of the disease. And with an acute incomplete variety of urinary retention, urine can occur in men in small quantities.

Chronic ischuria is able to be asymptomatic for some time, and as it develops, it becomes more noticeable and reminds of itself more and more. With chronic complete urinary retention, a person is not able to independently perform the process of urination, only a catheter installed in the urethra can help him in this.

In this way, the patient can empty the bladder for more than one year. With an incomplete form of chronic ischuria, a man manages to urinate himself, but his bladder is still not completely emptied and part of the urine remains in it.

There is another form of urinary retention called paradoxical ischuria. With this disease, a person's bladder is greatly stretched, and he cannot voluntarily urinate, but urine is involuntarily released in the form of droplets from the urethral canal. The most severe and painful form for a man is acute ischuria; he may not even be aware of the existence of chronic urinary retention.

Pathological factors for the occurrence of urinary retention

There are a variety of reasons for urinary retention. So, chronic urinary retention can cause the following pathological factors:

Various traumatic injuries of the urethra or bladder.
Blockage of the urinary organs. The lumen of the canal may be clogged due to the ingress of a stone or other foreign body into it. The blockage occurs either in the vesicourethral segment or in the urethra itself. In the first case, it may be a congenital patency disorder of this segment, a malignant tumor of the bladder or a polyp. In the second case, the blockage is formed due to a diverticulum (protrusion of one of the walls of the bladder) or urethral stricture (narrowing of the lumen in the urethra).
Compression of the bladder. It can be caused by pathologies of the urinary and genital organs. These include prostatitis (inflammation of the prostate gland), phimosis, balanoposthitis (inflammation of the head of the penis or foreskin), cancer, prostate sclerosis. The urinary bladder is also compressed in case of pathologies of organs located in the small pelvis (perineal hematoma, rectal cancer, hernia in the groin, aneurysms of the hypogastric arteries).

Urinary retention, which is chronic, is formed in diseases of the central nervous system, for example, neurogenic bladder dysfunction.

Causes of acute ischuria

In addition to neurogenic dysfunction and pathologies of the genitourinary system and small pelvis, there are other factors that cause problems with urination in men.

Acute ischuria may occur if the following events have occurred:

trauma to the brain or spinal cord;
multiple sclerosis;
operations on the spine or on the abdominal organs, requiring patients to stay in bed for a long time;
poisoning with drugs or sleeping pills;
severe alcohol intoxication;
stress and physical tension;
hypothermia of the body;
filling the bladder with blood clots;
forced delay in the process of urination.

Acute urinary retention, as mentioned above, occurs in men suddenly. But the most common cause of its occurrence is a complication of a disease such as prostate adenoma. When this benign tumor begins to grow, the segment of the urethra that passes through the prostate usually changes: it becomes crooked, stretched in length. All these changes in the urethra affect the outflow of urine, making it difficult and delaying it. With prostate adenoma, the gland itself swells, an increase in its size also leads to urinary retention in men.

Diagnostic measures and methods of treatment of ischuria

Symptoms characteristic of acute urinary retention and the late course of chronic ischuria should not be ignored. Every man who cares about his health should, having the above symptoms, be sure to consult a doctor. A qualified specialist will not only make the correct diagnosis, but also identify the causes of urinary retention, and also prescribe a quality treatment for the disease.

According to the symptoms described by the patient, it will be quite easy for the doctor to understand that we are talking about ischuria, but before treating it, additional diagnostics can be carried out. During a physical examination of the bladder, the doctor can palpate the area above the pubis and thus detect an increase in the size of the bladder. Another diagnostic method is an abdominal ultrasound, which must be done after the patient has urinated. You can measure the volume of urine left in the bladder after the process of urination. If more than 200 ml of urine remains there, we are talking about its delay.

One of the most common methods of treating acute ischuria is catheterization. Its essence lies in the fact that a metal urethral catheter is inserted through the urethra into the bladder, it helps the urine to come out of the bladder to the outside. Catheters are also made of rubber. So, the Timan device has a beak-shaped bend at the end, which allows the catheter to better pass through the urethra to the bladder. Rubber catheters, unlike metal ones, can stay in a man's body from a day to 1-2 weeks. Then there is an improvement, and the person can urinate fully in the future, urinary retention disappears. To make the treatment more effective, along with catheterization, patients are prescribed alpha-blockers, which are also used in the treatment of prostate adenoma.

The disadvantage of urethral catheterization is the possibility of causing microtrauma to the mucous membranes of the urethra. The latter can lead to the development of urosepsis. Some catheters can introduce infections into the urinary tract, and a man may develop urethritis. It is forbidden to use urethral catheters in cases where a person has damage to the urethra or suffers from prostatitis.

How, in this case, to treat ischuria? There is such a method of removing urine from the bladder as a capillary puncture. The method consists in the fact that a long needle (about 15 cm) to a depth of 5 cm is inserted into the patient in a supine position, under anesthesia, 1.5 cm above the pubis and at a right angle to it. A soft tube is put on the outer end of the needle.

The needle should enter the bladder and help the urine flow out of the bladder through the tube. When the organ is emptied of urine, which happens very quickly, the needle is removed and the injection site is lubricated with iodopyrine. This procedure can be performed several times a day. It is especially effective for prostate adenoma.

Difficulty in spontaneous urination in men can be treated with bladder drainage. So, after anesthesia, patients are cut through the skin along the line of the middle of the abdomen above the pubic joint and carefully insert the trocar inside. When this instrument reaches the bladder and the stylet makes a puncture, a rubber catheter is inserted through the hollow tube of the trocar, and urine flows out of the bladder through it. This operation is quite simple and safe, since the prostate is not damaged by the trocar and urinary streaks do not occur.

Frequent drainage of the bladder causes it to shrink, the elasticity of the walls decreases, so people with urinary retention should always flush the bladder with antiseptic solutions, periodically fill it with fluids and keep them inside for a while. Competent doctors will take a responsible approach to the treatment of ischuria and, choosing the most appropriate method, will help patients get rid of problems with urination.

urinary retention

general information

Types and forms of urinary retention

With a complete delay in the outflow of urine, catheterization is performed.

Depending on the symptoms of the disease, there is a classification of types and forms of difficult urine separation. So, the types of urinary retention:

Complete retention of urine outflow is a condition in which urine does not leave even with a clear urge to urinate. With this type of ailment, you have to use a tube to remove urine from the bladder.
Incomplete retention of urine. May accompany the patient for a long time, but she is not given attention. With incomplete emptying, urine does not pass well. It is released in a small volume or in intermittent jets - during the process, you have to strain the muscles of the organ.
paradoxical delay. With this type of ailment, the bladder is overfilled, but it cannot be emptied. Urine comes out of the urethra involuntarily.

Acute retention of urine. It has a violent onset: the lower abdomen hurts and there are repeated desires to urinate. A quick start is followed by an equally quick end. Men endure the acute form of the disease much harder than women.
Chronic retention of urine. The process in the remission stage mostly proceeds quietly, without the appearance of special symptoms. A person often does not even realize the existence of the disease, and only with an exacerbation of the disease caused by certain factors, it is possible to identify its chronic course with the help of diagnostics.

Back to index

Causes of urinary retention

An inflamed prostate prevents the normal separation of urine. Back to index

Common Causes

An existing obstruction that interferes with the normal separation of urine from the bladder. An obstacle can be various diseases of the genitourinary system (inflamed prostate, urolithiasis, malignant formations in the rectum, provoking obstruction).
Posterior urethral valves - folds of the urethral mucosa can delay the outflow of urine.
Nervous diseases - stroke, epilepsy, concussions, Parkinson's disease, etc.
Conscious delay occurs with a strong nervous breakdown, in a state of fright and in the postoperative period.
The causes of acute urinary retention are side effects of the uncontrolled use of certain drugs.

Back to index

Causes of obstructed outflow of urine in men

BPH.
Impaired separation of urine (delay or complete absence of urination) with prostatitis in the acute stage. Symptoms of an exacerbation of the prostate are also accompanied by a sharp pain in the kidneys and urethra, fever and signs of intoxication.

Back to index

Causes of the condition in women

Urinary retention in women can be triggered by prolapse of the internal genital organs.

Acute urinary retention in the female half of the population is provoked by such factors:

Prolapse of the internal genital organs (uterus, vagina).
Difficult childbirth and as a result - urine passes poorly.
Age changes. Acute urinary retention often occurs in older women. This disrupts the patency of the urethra.
Stopping urination after surgery on the genitourinary organs.
Mental disorders and nervous diseases.
The cause of urinary retention is a malignant tumor of one of the internal genital organs.
Urinary retention during pregnancy (in most cases, ectopic) and after childbirth.

For men of all ages, failures in the functioning of the genitourinary system are characteristic. leads to the accumulation of fluid in the bladder, the appearance of pain in the lower abdomen. The kidneys produce urine, which begins to accumulate in the urinary organs, bursting them and putting pressure on the internal organs. When the first signs of dysfunction appear, you should seek help from a specialist. Lack of treatment can lead to the development of peritonitis, sepsis, renal colic and insufficiency, rupture of the bladder.

Causes of the disease

Urine is poorly discharged as a result of various factors. The main reasons for the accumulation of urine in the genitourinary system are:

infectious diseases of the prostate;
BPH;
traumatization of the genitourinary organs;
changes in the structure of the urethra as a result of an infectious disease, inflammation;
dysfunction of the nervous system;
spinal injury;
urolithiasis disease;
malignant neoplasms in the urinary organs;
abuse of alcoholic beverages, drugs.

Urine does not depart as a result of surgical treatment of the digestive system, perineum, intoxication of the body with medications, prolonged stay in bed, and stressful situations.

Symptoms

Pain is aggravated during urination, with downward bending, physical exertion. Depending on the cause of the disease, symptoms such as:

headache;
nausea, vomiting;
increased body temperature;
unstable blood pressure;
frequent urge to defecate;
bleeding from the urethra.

An overfilled bladder is visible on visual examination, and when pressed on the abdomen, it causes acute pain in the patient.

Treatment Methods

The systematic accumulation of fluid is the main cause of the development of renal failure, which requires specialized medical treatment.

You can temporarily relieve symptoms with:

warm bath,
water bottles,
heating pad, which is located in the bladder, perineum.

Antispasmodics will help relieve pain for a while. The course of therapy depends on the cause of dysfunction, the stage of development of the disease.